Nonpharmacologic management of allergic rhinitis includes which of the following?

• A. Antihistamines only
• B. Avoid allergens
• C. Surgery
• D. Low-sodium diet

Answer: (B)

Reducing exposure to allergens is the main nonpharmacologic approach because it targets the trigger itself, decreasing nasal mucosal inflammation without medicines. By limiting contact with common triggers like dust mites, pet dander, molds, and pollen, you lessen symptom frequency and severity and often reduce the need for medications. Practical steps include encasing pillows and mattresses, washing bedding in hot water, using HEPA filtration, keeping humidity lower to curb mold growth, air-conditioning during high pollen seasons, minimizing carpets and upholstered surfaces, and avoiding smoking or secondhand smoke.

Antihistamines are pharmacologic therapy, not a nonpharmacologic measure. Surgery is not a standard nonpharmacologic option for allergic rhinitis and is reserved for specific anatomical issues or refractory cases. A low-sodium diet does not have a role in managing allergic rhinitis.